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Manager, Medical Network Management (candidates with intermediate / advanced excel skills are hig[...]

Manager, Medical Network Management (candidates with intermediate / advanced excel skills are hig[...]

GREAT EASTERNKuala Lumpur, Kuala Lumpur, Malaysia
11 jam yang lalu
Penerangan pekerjaan

Overview

To lead and manage the panel hospital network, ensuring strong partnerships, effective operations, and commercially sustainable arrangements that support Company’s healthcare objectives.

Responsibilities

  • Manage the end-to-end relationship with panel hospitals, including onboarding, performance monitoring, and periodic reviews.
  • Negotiate and secure commercially favourable terms with hospitals to support sustainable healthcare costs.
  • Oversee and resolve operational matters related to panel hospitals, including service issues, complaints, and escalations.
  • Collaborate with internal stakeholders to align hospital operations with business requirements.
  • Profile non-cooperative, overcharging providers leading to exclusion of these doctors from the network.
  • Monitor and analyse hospital utilisation and trends to inform decision-making and continuous improvement.
  • Support core functions such as hospital profiling, specialist profiling, cost containment, and implementation of service-level improvements.
  • Lead, provide guidance, coaching and performance management.
  • Undertake ad-hoc tasks from management as required.
  • Take accountability for business and regulatory compliance risks and implement appropriate mitigation steps.
  • Maintain awareness of industry trends on regulatory compliance, emerging threats and technologies to safeguard the company.
  • Highlight potential concerns / risks and proactively share best risk management practices.

Who we are looking for

  • Have 5–8 years of experience in insurance and healthcare, with proven managerial experience.
  • Possess a valid APC or have experience in a private hospital (an advantage).
  • Demonstrate strong business acumen and excellent skills in communication, analysis, negotiation, organization and problem-solving.
  • Are tactful, detail-oriented, and proficient in Excel and data analysis.
  • High level of integrity, takes accountability for work and maintains a good attitude toward teamwork.
  • Takes initiative to improve the current state of things and is adaptable to embrace new changes.

    • How you succeed

  • Champion and embody our Core Values in everyday tasks and interactions.
  • Demonstrate high level of integrity and accountability.
  • Take initiative to drive improvements and embrace change.
  • Take accountability for business and regulatory compliance risks, and implement measures to mitigate them effectively.
  • Keep abreast of industry trends, regulatory compliance, and emerging threats and technologies to understand and highlight potential concerns / risks to safeguard our company proactively.

    • Employment details

  • Employment type : Permanent

    • About Great Eastern

    Founded in 1908, Great Eastern is a well-established market leader and trusted brand in Singapore and Malaysia. With over S$100 billion in assets and more than 16 million policyholders, including 12.5 million from government schemes, it provides insurance solutions through three distribution channels – a tied agency force, bancassurance, and Great Eastern Financial Advisers. The Group also operates in Indonesia and Brunei.

    The Great Eastern Life Assurance Company Limited and Great Eastern General Insurance Limited have been assigned the financial strength and counterparty credit ratings of "AA-" by S&P Global Ratings since 2010, one of the highest among Asian life insurers. Great Eastern's asset management subsidiary, Lion Global Investors Limited, is one of the leading asset management companies in Southeast Asia.

    Great Eastern is a subsidiary of OCBC, the longest established Singapore bank. It is the second largest financial services group in Southeast Asia by assets and has high ratings from Moody’s, Fitch, and S&P. OCBC is recognised for financial strength and stability.

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    Manager Management • Kuala Lumpur, Kuala Lumpur, Malaysia